November 11, 2011The Thoracic and Cardiovascular Surgeon
Simultaneous Transcatheter Aortic and Mitral Valve-in-Valve Implantation in a Patient with Degenerated Bioprostheses and High Surgical Risk
Key result
Simultaneous transcatheter aortic and mitral valve-in-valve implantation via transapical access was successfully performed in a single procedure in a high-risk patient.
Population
1 patient with degenerated aortic and mitral bioprostheses and high surgical risk
Design
Case_report
Authors
Discussion
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Implication
May support feasibility in select high-risk patients; hypothesis-generating and requires prospective studies before broader adoption.
Key Points
- To describe the feasibility of performing single-stage simultaneous transcatheter aortic and mitral valve-in-valve implantation via a transapical route in a high-risk surgical patient.
- Case report evaluating a single-stage intervention in a patient presenting with failed aortic and mitral bioprostheses and high operative risk.
- A transapical access route was utilized to simultaneously reach and treat both the aortic and mitral positions in one intervention.
- Achieved successful dual valve-in-valve implantation in both the aortic and mitral positions within a single transapical procedure.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
1 high surgical risk patient with degenerated bioprostheses undergoing simultaneous transcatheter aortic and mitral valve-in-valve implantation.
I
Intervention
Simultaneous transcatheter aortic and mitral valve-in-valve implantation via transapical access
Simultaneous transcatheter aortic and mitral valve-in-valve implantation via transapical access is feasible in a high-risk patient with degenerated bioprostheses.
Cite This Study
Seiffert et al. (2011) conducted a case report in Degenerated aortic and mitral bioprostheses with high surgical risk (n=1). Simultaneous transcatheter aortic and mitral valve-in-valve implantation via transapical access was evaluated on Procedural success. Simultaneous transcatheter aortic and mitral valve-in-valve implantation via transapical access was successfully performed in a single procedure in a high-risk patient.